NCLEX-PN
NCLEX-PN Free Practice Questions Questions
Extract:
Question 1 of 5
A 17-year-old client is admitted following a seizure. That evening, the nurse goes into the room and notes that the client has obviously been crying. The client says, 'Now that I have epilepsy, I am a freak.' What is the best initial response for the nurse to make?
Correct Answer: A
Rationale: Acknowledging the client's feelings validates their emotional distress, fostering therapeutic communication. Reassurance or minimization dismisses their concerns, hindering rapport.
Question 2 of 5
A 15-year-old client presents at the clinic with fatigue, a severe sore throat, and swollen lymph nodes in the neck. A monospot test is positive. What instructions will be most appropriate for this client?
Correct Answer: B
Rationale: Infectious mononucleosis, indicated by a positive monospot test, is viral, requiring rest and nutrition for recovery, not antibiotics or isolation for blisters.
Question 3 of 5
The home care nurse is instructing a client recently diagnosed with tuberculosis. It is MOST important for the nurse to include which of the following as a part of the teaching plan?
Correct Answer: D
Rationale: Adherence to a 6–9-month medication regimen is critical for curing tuberculosis and preventing resistance. Respiratory precautions (
A) are needed for 2–4 weeks, masks (
B) are not always required, and family support (
C) is secondary to treatment adherence.
Extract:
When changing Ms. Wilson's postoperative dressing, the nurse is careful not to introduce microorganisms into the surgical incision.
Question 4 of 5
This is an example of:
Correct Answer: C
Rationale: Intact skin is the first line of defense against entry of microorganisms. A surgical incision is a portal of entry, so a technique that requires the absence of all microorganisms (surgical asepsis) is essential.
Extract:
Question 5 of 5
An adult is admitted for surgery for a secreting adrenal tumor. In the immediate postoperative period, which nursing action will be highest priority?
Correct Answer: B
Rationale: Adrenal tumor resection may cause adrenal insufficiency; administering adrenal hormones is critical to replace deficient cortisol, preventing crisis. Liquids, breathing exercises, and pain management are secondary.